Individual
BANCHI ALEBACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
(651) 497-8683
Mailing address
17260 GLENCOE AVE, LAKEVILLE, MN 55044-7423
(651) 497-8683
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R198098-3
MN
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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